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Federal forms, ICRs, and supporting documents

Information Collection

NHSC Recruitment and Retention Assistance Application

IC 6469 under ICR 201406-0915-003 · OMB 0915-0230.

Documents and Forms
Document Name
Document Type
Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

NHSC Recruitment and Retention Assistance Application
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction SiteAdministratorPortalUserGuide.pdf Yes No Printable Only
Form and Instruction 1 Site Administrator Portal Guide SiteAdministratorPortalUserGuide.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

3,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 1,500 0 0 0 0 1,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.